Individual
ERIC ROBERT GEWENIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
5153 N CLARK ST STE 306, CHICAGO, IL 60640-6850
(312) 690-3206
Mailing address
5727 N WINTHROP AVE APT 408, CHICAGO, IL 60660-4396
(312) 690-3206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.018705
IL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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